NPI | 1063693968 |
---|---|
Former Name | DAROLYN SUE UNDERWOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP17831) |
Enumeration Date | 2007-11-19 |
Last Update Date | 2018-06-04 |